Understanding the determinants of adherence and the evolving challenges to HAART among people receiving free antiretroviral drugs at the medical centre of Pissy in Ouagadougou, Burkina Faso
Document type: mthesis
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Abstract:
OBJECTIVES: The purpose of this study is to elicit the evolving challenges to antiretroviral treatment at the CMA of Pissy, in Ouagadougou in order to generate appropriate recommendations on adherence enhancing interventions. METHODS: A qualitative exploratory research approach was conducted using a series of three individual semi-structured interviews with 16 patients receiving free ARV for at least three years at the CMA of Pissy, which provides free antiretroviral to a large volume of patients in Burkina Faso. A conceptual framework on ambulatory treatment was used to develop the topic guide and to analyse the interview transcripts (Uquhart and Vrijens). The purposive sample was selected based on gender and on length of treatment. Participants were asked to describe their life trajectories, how much the antiretroviral treatments fits with their everyday lives, the evolving barriers to as well as the strategies they used to enhance adherence. FINDINGS: Major factors that influence adherence negatively included illiteracy, transportation costs, hunger, fear of disclosure, stigma and discrimination. Facilitating factors included acceptance of the disease, feeling healthy, family and community support, self-support group, living for someone. Religion plays a dual role as barrier and facilitator to adherence. Coping strategies included secrecy, pills carrying and disease or medicines assimilation. CONCLUSION: People living with HAART need an enabling environment and our findings call for interventions at individual, family, society and organization levels, The findings highlight the importance of close environment’s support, treatment literacy, improved access to ART related ART services, which could be strengthened.
Authors:
Tiendrebeogo, L.J.
Country:
Burkina Faso
Category:
Research
Department:
Development Policy & Practice
Institute:
KIT (Royal Tropical Institute)
Keywords:
HIV and AIDS
,
disease prevention and control
,
health services
Language:
eng
Organization:
KIT - Royal Tropical Institute
PAGE:
vi, 54
Year:
2008
Region:
West Africa
Right:
© 2008 Tiendrebeogo
Subject:
Health and Nutrition
Title:
Understanding the determinants of adherence and the evolving challenges to HAART among people receiving free antiretroviral drugs at the medical centre of Pissy in Ouagadougou, Burkina Faso
Training:
Master of Public Health / International Course in Health Development (ICHD)